| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $229.09 | $338.84 | |
Aetna
| Professional | $83.18 | $134.90 | $295.12 | |
Ambetter
| Professional | $109.65 | $128.82 | $147.91 | |
Anthem BCBS
| Professional | $85.11 | $177.83 | $281.84 | |
Cigna
| Professional | $104.71 | $173.78 | $288.40 | |
Harvard Pilgrim
| Professional | $102.33 | $177.83 | $316.23 | |
Optum
| Professional | $107.15 | $151.36 | $177.83 | |
United
| Professional | $107.15 | $169.82 | $309.03 | |
Well Sense
| Facility | $107.15 | $144.54 | $177.83 |